Active NPI
Douglas Krejsa, MD
- Emergency Medicine Physician
- Fairfield, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 35-071747
- Practice address
- 3000 Mack Rd
Fairfield, OH 45014-5335 - Phone
- (513) 870-7001
- Fax
- (937) 619-4150
- NPI assigned
- Nov 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 35-071747 | OH | Primary |
Addresses
Primary practice location
3000 Mack Rd
Fairfield, OH 45014-5335
Mailing address
4750 Hempstead Station Dr
Kettering, OH 45429-5164
Phone (800) 875-0136
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100513000332 | OH | Practitioner - Emergency Medicine | 0345378287 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Emergency Medicine Physicians of Cincinnati LTD
Practice addresses (Care Compare)
3300 Mercy Health Blvd
Cincinnati, OH 45211-1103
Phone (513) 215-1114
Hospital & facility affiliations
- The Jewish Hospital-Mercy Health
- Mercy Health - West Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.9 of 100
- Quality
- 91.17
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-071747 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Emergency Care Services, Inc. | Emergency Medicine | Current | Accepting new patients |
| Ohio Emergency Professionals Inc | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Physicians of Cincinnati, LTD. | Emergency Medicine | Current | Accepting new patients |
| Vanguard Medical | Emergency Medicine | Past | Accepting new patients |
Locations
3000 Hospital Dr
Batavia, OH 45103
Phone (513) 557-3209
3300 Mercy Health Blvd
Cincinnati, OH 45211
Phone (513) 215-1114
4777 E Galbraith Rd
Cincinnati, OH 45236
Phone (513) 686-3000
7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034
630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000
3000 Mack Rd
Hamilton, OH 45014
Phone (513) 870-7000
2600 Navarre Ave
Oregon, OH 43616
Phone (419) 696-7200
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
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-
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- NPI 1477957819
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-
- Emergency Medicine Physician
- Columbus, OH
- NPI 1982983425
Emergency Medicine, OH
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419379200000",
"number": "1104993633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4750 HEMPSTEAD STATION DR",
"city": "KETTERING",
"state": "OH",
"postal_code": "454295164",
"telephone_number": "800-875-0136",
"fax_number": "937-619-4150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 MACK RD",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450145335",
"telephone_number": "513-870-7001",
"fax_number": "937-619-4150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREJSA",
"first_name": "DOUGLAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2014-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "35-071747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.